Fillable Office of the Dean of Students FACULTY DISPOSITION (The University of Texas Permian Basin)

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Office of the Dean of Students FACULTY DISPOSITION (The University of Texas Permian Basin)

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Office of the Dean of Students
FACULTY DISPOSITION OF A SCHOLASTIC DISHONESTY CASE
Guidelines for faculty members who are confronted with a case of scholastic dishonesty are in The University of Texas
Permian Basin Handbook of Operating Procedures. Please contact the Office of the Dean of Students at 552-2600 if you
have questions regarding these procedures.
1. The student below is alleged to have violated University policies on scholastic dishonesty:
Name____________________________________Student ID______________________
Dept. & Course No.________________________Section No.___________________
2. Type of Violation:
Cheating on test/assignment
Collusion
Plagiarism
Falsifying Records
Other ______________________
3. Summary of incident: (Use additional sheet if necessary.)
4. Disciplinary penalty to be recommended by instructor. A disciplinary penalty or penalties may be
recommended by the faculty member when the student admits to committing an act of scholastic
dishonesty. Please be specific about the penalty to avoid confusion about the penalty at a later date.
Additional penalties may be imposed by the Dean of Students. The Dean of Students will review this
form to determine if any additional penalties may be assessed.
written warning
educational program to enhance the student’s understanding of scholastic dishonesty
resubmit assignment, paper or program ___________________________________
(specify requirements, maximum grade possible and due date)
retake exam (date or deadline date) _________________________________
reduced credit or zero on assignment, paper or program (specify grade) __________
reduced credit or zero on exam (specify grade) _________________
reduced final grade or failing grade for the course (specify grade) ______________
(Please Print)
Faculty Name_________________________________Dept._____________________Room#________
Signature_________________________________Date____________Phone___________________
5. Additional penalty assessed by the Dean of Students:
______________________________________________________________________________
6. FOR THE STUDENT: Should you have any questions about the discipline procedures, please contact
the Office of the Dean of Students (432-552-2600) before you sign this form.
If you disagree with the
charge(s), the case will be referred to the Office of the Dean of Students for investigation. Please select
one of the statements below to indicate your position.
Option A
I understand the violation
with which I am charged, accept faculty disposition, waive
my right to a hearing before a University hearing officer, and accept the sanction. Additional non-
academic sanctions may be imposed by the Dean of Students if circumstances warrant. I understand that
this form will be kept in a confidential file in the Office of the Dean of Students.
Student Signature________________________________________ Date_____________________
Option B I understand the violation with which I am charged and waive my right to a hearing
before a University hearing officer. However, I wish to dispute the penalty. I understand that this form
will be kept in a confidential file in the Office of the Dean of Students and I understand that my appeal of
the penalty must be filed in writing with the Office of President within seven (7) days from the date below.
Student Signature________________________________________ Date______________________
Opt
ion C I understand the violation with which I am charged, dispute the faculty and/or Dean of
Students’ disposition, and request a hearing before a University hearing officer. I understand that
this form will be kept in a confidential file in the Office of the Dean of Students.
Student Signature__________________________________________ Date_____________________
Please submit this form to the Office of the Dean of Students via email at studentconduct@utpb.edu
or to Mesa Bldg. 4274.
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Office of the Dean of Students FACULTY DISPOSITION (The University of Texas Permian Basin)

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Completed 4 March 2022

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